BRMC MEDICAL PLLC
NPI 1629358908
Specialist in Bronx, NY

Active since August 18, 2011CLIA 33D2281053 · Waiver
1262 BOSTON RD, 2ND FLOOR, BRONX, NY 10456(718) 617-2500(718) 617-0550 Get Directions Write a Review

NPPES record last updated: August 18, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brmc Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRMC MEDICAL PLLC (NPI 1629358908) is a healthcare organization registered as a specialist in Bronx, New York and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Jorge Cornielle, President, as its authorized official.

NPPES Registry Identity

NPI1629358908
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBRMC MEDICAL PLLC
Location Address1262 BOSTON RD, 2ND FLOORBronx, NY 10456-3602
Mailing Address1262 Boston Rd, 2nd FloorBronx, NY 10456-3602 · (718) 617-2500 · Fax (718) 617-0550
Fax(718) 617-0550
Organization SubpartNo
Authorized OfficialJorge CorniellePresident · (718) 617-2500
Enumeration DateAugust 18, 2011
✔ NPI 1629358908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 214716
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1262 BOSTON RD, Bronx, NY 10456

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brmc Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20130301000160Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Brmc Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Pediatric Medicine
NPI 1255408365
1262 BOSTON RD
Bronx, NY 10456
(718) 617-2500
✔ PECOSSame address
Physical Medicine and Rehabilitation
NPI 1851365449
6 HIGHRIDGE RD
Larchmont, NY 10538
(917) 853-2232
✔ PECOS11 mi
Nurse Practitioner
NPI 1962708529
197 HALF HOLLOW RD
Dix Hills, NY 11746
(347) 693-4311
✔ PECOS27 mi
Psychiatry
NPI 1437316866
425 W COLONIAL DR STE 302
Orlando, FL 32804
(615) 498-3788
✔ PECOS947 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2281053

Brmc Medical PLLC · Bronx, NY
Active · expires Apr 30, 2027
CLIA Number33D2281053
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorDr. Jorge Cornielle
Laboratory Phone(718) 569-0889
Laboratory LocationBrmc Medical PLLC1262 Boston Road 2nd Floor Suite 2, Bronx, NY 10456
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brmc Medical PLLC's NPI number?

The NPI number for Brmc Medical PLLC is 1629358908. It was assigned to this organization in the NPPES registry on August 18, 2011.

Where is Brmc Medical PLLC located?

Brmc Medical PLLC is located at 1262 Boston Rd 2nd Floor, Bronx, NY 10456. The listed phone number is (718) 617-2500.

What is Brmc Medical PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Brmc Medical PLLC enrolled in Medicare?

Yes. Brmc Medical PLLC is registered in the Medicare PECOS enrollment system.

When is Brmc Medical PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Brmc Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Brmc Medical PLLC, in Nurse Practitioner, Pediatric Medicine, Physical Medicine and Rehabilitation and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Brmc Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2281053) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brmc Medical PLLC was last updated on August 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.